School Application Form

School Application Form
Name

Legal First NameLegal Middle NameLegal Last Name
Sex
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Social Security Number/TIN
(n/a if you do not have one)
Mailing Address
City/State/Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Program of Interest
Which location are you applying for:
Desired Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Email Address (this will be used for enrollment purposes)
example@example.com
High School Diploma or GED?
High School/GED Provider Name
City and State of your School
Year of Graduation

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Emergency Contact Name
Emergency Contact Phone Number
Format: (000) 000-0000.
Relationship to Emergency Contact
Do you have any known allergies?
Are you a veteran or dependent wishing to use Veteran Affairs (VA) benefits like Chapter 31, 35 or Post 9/11?
Are you applying for Skillbridge?
**IF YES, Please attach a copy/picture of your Certificate of Eligibility from the VA . You can call 1888-442-4551 to request one.

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Do you have a documented Physical or Mental disability? If yes, are you interested in Texas Workforce solutions paying for your school?
Have attended or attending another Cosmetology School?
If yes, please provide school name
Please download the correct files:

For ALL PROGRAMS:

TDLR Notice of Ineligibility:
Upload NOTICE OF INELIGIBILITY click on link above (can be a photo or screenshot)

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High School Diploma/GED (can be a picture of it, or unofficial/official transcripts)

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PHOTO IDENTIFICATION

(Foreign passports and licenses are accepted)
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By electronically signing your name below, you agree that all information is accurate and you have not intentionally provided any false information.
Signature
Should be Empty:

School Application Form

For ALL PROGRAMS: